Healthcare Provider Details

I. General information

NPI: 1265122196
Provider Name (Legal Business Name): BRITTANY LYNN REOME RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2023
Last Update Date: 05/12/2023
Certification Date: 05/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

796 108TH AVE N
NAPLES FL
34108-1872
US

IV. Provider business mailing address

796 108TH AVE N
NAPLES FL
34108-1872
US

V. Phone/Fax

Practice location:
  • Phone: 585-363-2556
  • Fax:
Mailing address:
  • Phone: 585-363-2556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9590850
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: